<!DOCTYPE html>
<html>

	<head>
		<meta charset="UTF-8">
		<title>世纪黑卡</title>
		<link href="__PUBLIC__/Webcss/reset.css" rel="stylesheet" type="text/css" />
		<link href="__PUBLIC__/Webcss/layout.css" rel="stylesheet" type="text/css" />
		<link href="__PUBLIC__/Webcss/black_online_application.css" rel="stylesheet" type="text/css" />
	</head>

	<body>
		<header class="l_header_wrap l_header_back_color">
			<!--<div class="l_header_back_opacity"></div>-->
			<div class="l_header w1200">
				<span class="l_header_black_century">BLACK CENTURY</span>
				<nav class="l_header_nav">
					<a href="index1.html">黑卡首页<span class="l_border_bottom"></span></a>
					<a class="l_header_active" href="black_online_application1.html">在线申请<span class="l_border_bottom"></span></a>
					<a href="cardholder.html">持卡人<span class="l_border_bottom"></span></a>
					<a href="blackcard_service.html">黑卡服务<span class="l_border_bottom"></span></a>
				</nav>
			</div>
		</header>
		<section class="l_content4 w1200">
			<h1 class="l_every_title">订单确认</h1>
			<h2 class="l_every_title_s">Order Confirm</h2>	
			<div class="l_4_main w1200">
				<div class="l_main_safe">您的个人信息将由MD5技术全程加密</div>
				<form class="l_user_info">
					<span>青年黑卡:</span><p class="l_description">精英会籍+随机号码+不定制姓名=199元</p>
					<span>持卡人:</span><input class="l_name" type="text" placeholder="填写收卡人的姓名" />
					<span>联系电话:</span><input class="l_tel" type="text" placeholder="填写收卡人的联系电话" />
					<span>确认电话:</span><input class="l_re_tel" type="text" placeholder="请再次填写确认电话" />
					<span>收货地址:</span><select class="l_province"><option>省</option></select><select class="l_center city"><option>市</option></select><select class="l_district"><option>区</option></select>
					<span></span><input type="text" placeholder="填写您的收件地址"/>
					<span>备注:</span><input type="text" placeholder="选填"/>
					<span>配送方式:</span><p class="l_delivery_method l_delivery_method_checked l_p1">EMS</p><p class="l_delivery_method">货到付款 +5元</p>
					<p class="l_expressage">快递说明</p>
					<p class="l_expressage_intro">由EMS空运急件配送，货到付款由京东物流或顺丰速运配送。</p>
				</form>
				<div class="l_card_fee">
					<img src="__PUBLIC__/Webimg/index_card.png" />
					<p class="l_fee_title">您的黑卡订单总费用为</p>
					<p class="l_fee_total"><span>199.00&nbsp;</span>元</p>
				</div>
			</div>
			<p class="btn">
				<a href="black_online_application3.html">上一步</a>
				<a href="black_online_application5.html">下一步</a>
			</p>

		</section>
		<footer class="l_footer">
			<h1 class="l_footer_title">联系我们</h1>
			<h2 class="l_footer_title_s">Contact Us</h2>
			<div class="w1200">
				<p>客服电话：010-59452601<br/>企业邮箱：service@91fintec.com<br/>地址：北京市海淀区中关村国际孵化园D座</p>
				<img src="__PUBLIC__/Webimg/code.jpg" />
			</div>
		</footer>
		<script type="text/javascript" src="__PUBLIC__/Webjs/jquery.js" ></script>
	</body>

</html>